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style=\"text-align: center;\"><img decoding=\"async\" alt=\"\u81b5\u81d3\u3068\u5468\u56f2\u306e\u81d3\u5668\u306e\u95a2\u4fc2\uff08\u304c\u3093\u60c5\u5831\u30b5\u30fc\u30d3\u30b9\uff09\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/11\/pancreas_fig01.png\" width=\"400\"\/><\/p>\n<p>\u6700\u65b0\u306e\u7d71\u8a08\u30c7\u30fc\u30bf\u304b\u3089\u898b\u308b\u81b5\u304c\u3093\u306e\u751f\u5b58\u7387\u3068\u4e88\u5f8c<\/p>\n<p>\u81b5\u304c\u3093\u306f\u65e9\u671f\u767a\u898b\u304c\u975e\u5e38\u306b\u96e3\u3057\u3044\u305f\u3081\u3001\u4ed6\u306e\u304c\u3093\u3068\u6bd4\u3079\u3066\u3082\u4e88\u5f8c\u304c\u53b3\u3057\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u65e5\u672c\u306e\u6700\u65b0\u7d71\u8a08\u3067\u306f\u30015\u5e74\u76f8\u5bfe\u751f\u5b58\u7387\u306f\u7d0410\uff05\u524d\u5f8c\u3068\u4f4e\u3044\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u304c\u3001\u8fd1\u5e74\u306e\u5316\u5b66\u7642\u6cd5\u306e\u9577\u8db3\u306e\u9032\u6b69\u3084\u96c6\u5b66\u7684\u6cbb\u7642\u306e\u5c0e\u5165\u306b\u3088\u308a\u3001\u6cbb\u7642\u6210\u7e3e\u306f\u7740\u5b9f\u306b\u5411\u4e0a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u65e9\u671f\u306b\u767a\u898b\u3057\u3001\u9069\u5207\u306a\u6cbb\u7642\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u4e88\u5f8c\u306e\u6539\u5584\u306b\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/p>\n<p><a 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href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/hepatobiliary_oncology\/050\/090\/20200612135230.html\" rel=\"nofollow noopener\" target=\"_blank\">\u5185\u8996\u93e1\u7684\u9006\u884c\u6027\u80c6\u7ba1\u81b5\u7ba1\u9020\u5f71\uff08ERCP\uff09<\/a>:\u80c6\u7ba1\u3084\u81b5\u7ba1\u306e\u4e2d\u304b\u3089\u7d30\u80de\u3084\u7d44\u7e54\u3092\u63a1\u53d6\u3057\u305f\u308a\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u80c6\u9053\u93e1\u3084\u81b5\u7ba1\u93e1\u3067\u76f4\u63a5\u89b3\u5bdf\u3057\u3001\u8a3a\u65ad\u306b\u5f79\u7acb\u3066\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u3089\u306e\u7cbe\u5bc6\u306a\u8a3a\u65ad\u304c\u3001\u9069\u5207\u306a\u6cbb\u7642\u6cd5\u3092\u9078\u629e\u3059\u308b\u305f\u3081\u306e\u91cd\u8981\u306a\u7b2c\u4e00\u6b69\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u8a73\u7d30\u306f<a title=\"EUS\u3084ERCP\u306e\u5185\u8996\u93e1\u3092\u4f7f\u3063\u305f\u8a3a\u65ad\u6cbb\u7642\u306e\u30da\u30fc\u30b8\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/hepatobiliary_oncology\/050\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">EUS\u3084ERCP\u306e\u5185\u8996\u93e1\u3092\u4f7f\u3063\u305f\u8a3a\u65ad\u6cbb\u7642\u306e\u30da\u30fc\u30b8<\/a>\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/p>\n<p><a title=\"\u5916\u6765\u53d7\u8a3a\u306e\u3054\u6848\u5185\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/d001\/shoshin\/index.html\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"\u5916\u6765\u53d7\u8a3a\u306e\u3054\u6848\u5185\u30dc\u30bf\u30f3\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/06\/shoshin.png\" width=\"400\"\/><\/a><br \/>\n<a title=\"\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u306e\u3054\u6848\u5185\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/d001\/secondopinion\/index.html\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u306e\u3054\u6848\u5185\u30dc\u30bf\u30f3\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/06\/secondopinion.png\" width=\"400\"\/><\/a><\/p>\n<p><a id=\"a3\"\/>\u81b5\u304c\u3093\uff08\u81b5\u81d3\u304c\u3093\uff09\u306e\u6cbb\u7642\u306b\u3064\u3044\u3066<\/p>\n<p>\u5f53\u9662\u3067\u306f\u3001<a title=\"\u4e2d\u592e\u75c5\u9662\u3000\u809d\u80c6\u81b5\u5916\u79d1\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/hepatobiliary_surgery\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">\u809d\u80c6\u81b5\u5916\u79d1<\/a>\u3001<a title=\"\u4e2d\u592e\u75c5\u9662\u3000\u653e\u5c04\u7dda\u8a3a\u65ad\u79d1\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/diagnostic_radiology\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">\u653e\u5c04\u7dda\u8a3a\u65ad\u79d1<\/a>\u3001<a title=\"\u4e2d\u592e\u75c5\u9662\u3000\u75c5\u7406\u8a3a\u65ad\u79d1\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/pathology\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">\u75c5\u7406\u8a3a\u65ad\u79d1<\/a>\u306a\u3069\u95a2\u9023\u5404\u79d1\u304c\u5bc6\u306b\u9023\u643a\u3057\u3001\u300c\u30ad\u30e3\u30f3\u30b5\u30fc\u30dc\u30fc\u30c9\u300d\u3068\u547c\u3070\u308c\u308b\u30ab\u30f3\u30d5\u30a1\u30ec\u30f3\u30b9\u3067\u3001\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306b\u3068\u3063\u3066\u3088\u308a\u826f\u3044\u6cbb\u7642\u65b9\u91dd\u3092\u8b70\u8ad6\u3057\u307e\u3059\u3002<\/p>\n<p>\u809d\u80c6\u81b5\u5185\u79d1\u306f\u3001\u3053\u306e\u30c1\u30fc\u30e0\u533b\u7642\u306e\u4e2d\u6838\u3068\u3057\u3066\u3001\u5316\u5b66\u7642\u6cd5\u3068\u5185\u8996\u93e1\u6cbb\u7642\u3092\u62c5\u3044\u307e\u3059\u3002<\/p>\n<p><a id=\"a4\"\/>\u624b\u8853\u306b\u3088\u308b\u6cbb\u7642<\/p>\n<p>\u624b\u8853\u306f\u3001\u81b5\u304c\u3093\u3092\u6839\u6cbb\u3057\u3046\u308b\u552f\u4e00\u306e\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/p>\n<p>\u809d\u80c6\u81b5\u5185\u79d1\u306f\u3001\u624b\u8853\u306e\u524d\u5f8c\u306b\u5316\u5b66\u7642\u6cd5\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u5916\u79d1\u3068\u9023\u643a\u3057\u6cbb\u7642\u6210\u7e3e\u306e\u5411\u4e0a\u3092\u76ee\u6307\u3057\u307e\u3059\u3002<\/p>\n<p>\u8853\u524d\u5316\u5b66\u7642\u6cd5: \u624b\u8853\u524d\u306b\u304c\u3093\u3092\u5c0f\u3055\u304f\u3057\u3001\u624b\u8853\u306e\u6210\u529f\u7387\u3092\u9ad8\u3081\u307e\u3059\u3002<br \/>\n\u8853\u5f8c\u88dc\u52a9\u5316\u5b66\u7642\u6cd5: \u624b\u8853\u5f8c\u306e\u76ee\u306b\u898b\u3048\u306a\u3044\u304c\u3093\u7d30\u80de\u3092\u53e9\u304d\u3001\u518d\u767a\u3092\u9632\u304e\u307e\u3059\u3002<\/p>\n<p><a id=\"a5\"\/>\u5316\u5b66\u7642\u6cd5\uff1a\u81b5\u304c\u3093\u6cbb\u7642\u306e\u4e2d\u6838\u3092\u62c5\u3046\u5316\u5b66\u7642\u6cd5<\/p>\n<p>\u809d\u80c6\u81b5\u5185\u79d1\u306e\u8a3a\u7642\u306e\u67f1\u3001\u305d\u308c\u304c\u5316\u5b66\u7642\u6cd5\uff08\u6297\u304c\u3093\u5264\u6cbb\u7642\uff09\u3067\u3059\u3002\u81b5\u304c\u3093\u306f\u767a\u898b\u3055\u308c\u305f\u6642\u70b9\u3067\u624b\u8853\u304c\u96e3\u3057\u3044\u9032\u884c\u30fb\u518d\u767a\u306e\u72b6\u614b\u3067\u8a3a\u65ad\u3055\u308c\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>\u305d\u306e\u3088\u3046\u306a\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u3001\u5316\u5b66\u7642\u6cd5\u306f\u304c\u3093\u306e\u9032\u884c\u3092\u6291\u3048\u3001\u751f\u5b58\u671f\u9593\u3092\u5ef6\u9577\u3057\u3001\u75c7\u72b6\u3092\u548c\u3089\u3052\u308b\u305f\u3081\u306e\u6700\u3082\u91cd\u8981\u306a\u6cbb\u7642\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u5f53\u79d1\u306f\u3001\u3053\u306e\u5316\u5b66\u7642\u6cd5\u306e\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30eb\u96c6\u56e3\u3068\u3057\u3066\u3001\u65e5\u672c\u306e\u81b5\u304c\u3093\u6cbb\u7642\u3092\u727d\u5f15\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>1. \u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306b\u9069\u3057\u305f\u6cbb\u7642\u6226\u7565<\/p>\n<p>\u5f53\u79d1\u3067\u306f\u3001\u79d1\u5b66\u7684\u6839\u62e0\u306b\u57fa\u3065\u304d\u3001\u60a3\u8005\u3055\u3093\u306e\u5168\u8eab\u72b6\u614b\u3001\u5e74\u9f62\u3001\u4f75\u5b58\u75be\u60a3\u3001\u305d\u3057\u3066\u304c\u3093\u306e\u6027\u8cea\u3092\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3057\u3001\u3088\u308a\u826f\u3044\u6cbb\u7642\u6cd5\u3092\u63d0\u6848\u3057\u307e\u3059\u3002<\/p>\n<p>\u4ee5\u4e0b\u306b\u4ee3\u8868\u7684\u306a\u6cbb\u7642\u6cd5\uff08\u30ec\u30b8\u30e1\u30f3\uff09\u3068\u305d\u306e\u85ac\u5264\u3092\u793a\u3057\u307e\u3059\u3002<\/p>\n<p>\u30fb\u4e00\u6b21\u6cbb\u7642\uff08\u521d\u56de\u6cbb\u7642\uff09<\/p>\n<p>\u30b2\u30e0\u30b7\u30bf\u30d3\u30f3\uff0b\u30ca\u30d6\u30d1\u30af\u30ea\u30bf\u30ad\u30bb\u30eb\u4f75\u7528\u7642\u6cd5: \u7b2c\u4e00\u9078\u629e\u3068\u3057\u3066\u3082\u3063\u3068\u3082\u5e83\u304f\u7528\u3044\u3089\u308c\u308b\u6a19\u6e96\u6cbb\u7642\u3067\u3059\u3002<br \/>\u30fb\u30b2\u30e0\u30b7\u30bf\u30d3\u30f3: \u81b5\u304c\u3093\u6cbb\u7642\u306e\u57fa\u672c\u85ac\u306e\u4e00\u3064\u3002\u7d30\u80de\u5206\u88c2\u306b\u5fc5\u8981\u306aDNA\u306e\u5408\u6210\u3092\u963b\u5bb3\u3057\u307e\u3059\u3002<br \/>\u30fb\u30ca\u30d6\u30d1\u30af\u30ea\u30bf\u30ad\u30bb\u30eb: \u7d30\u80de\u304c\u5206\u88c2\u3059\u308b\u969b\u306e\u9aa8\u683c\uff08\u5fae\u5c0f\u7ba1\uff09\u306e\u50cd\u304d\u3092\u963b\u5bb3\u3059\u308b\u30bf\u30ad\u30b5\u30f3\u7cfb\u306e\u85ac\u5264\u3002\u30a2\u30eb\u30d6\u30df\u30f3\u3068\u3044\u3046\u30bf\u30f3\u30d1\u30af\u8cea\u3068\u7d50\u5408\u3055\u305b\u308b\u3053\u3068\u3067\u3001\u304c\u3093\u7d44\u7e54\u306b\u5c4a\u304d\u3084\u3059\u304f\u3059\u308b\u5de5\u592b\u304c\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>FOLFIRINOX\uff08\u30d5\u30a9\u30eb\u30d5\u30a3\u30ea\u30ce\u30c3\u30af\u30b9\uff09\u7642\u6cd5: \u5168\u8eab\u72b6\u614b\u304c\u826f\u597d\u306a\u60a3\u8005\u3055\u3093\u306b\u9078\u629e\u3055\u308c\u308b\u3001\u975e\u5e38\u306b\u5f37\u529b\u306a\u6cbb\u7642\u6cd5\u3067\u3059\u30024\u7a2e\u985e\u306e\u6297\u304c\u3093\u5264\u3092\u7d44\u307f\u5408\u308f\u305b\u3001\u304c\u3093\u7d30\u80de\u306e\u5897\u6b96\u3092\u591a\u89d2\u7684\u306b\u6291\u3048\u307e\u3059\u3002\u52b9\u679c\u304c\u9ad8\u3044\u53cd\u9762\u3001\u526f\u4f5c\u7528\u3082\u5f37\u3044\u305f\u3081\u3001\u5f53\u79d1\u306e\u5c02\u9580\u30c1\u30fc\u30e0\u306b\u3088\u308b\u5fb9\u5e95\u3057\u305f\u526f\u4f5c\u7528\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u304c\u7279\u306b\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002<br \/>\u30fb\u30aa\u30ad\u30b5\u30ea\u30d7\u30e9\u30c1\u30f3: DNA\u306e\u8907\u88fd\u3092\u963b\u5bb3\u3059\u308b\u767d\u91d1\u88fd\u5264\u3002<br \/>\u30fb\u30a4\u30ea\u30ce\u30c6\u30ab\u30f3: DNA\u306e\u8907\u88fd\u306b\u95a2\u308f\u308b\u9175\u7d20\uff08\u30c8\u30dd\u30a4\u30bd\u30e1\u30e9\u30fc\u30bcI\uff09\u3092\u963b\u5bb3\u3059\u308b\u3002<br \/>\u30fb\u30d5\u30eb\u30aa\u30ed\u30a6\u30e9\u30b7\u30eb (5-FU): \u4ee3\u8b1d\u3055\u308cDNA\u3084RNA\u306e\u5408\u6210\u3092\u59a8\u3052\u308b\u3002<br \/>\u30fb\u30ec\u30dc\u30db\u30ea\u30ca\u30fc\u30c8 (l-LV): \u6d3b\u6027\u578b\u8449\u9178\u88fd\u5264\u3067\u3001\u6297\u304c\u3093\u5264\u3067\u306f\u306a\u3044\u3002\u30d5\u30eb\u30aa\u30ed\u30a6\u30e9\u30b7\u30eb\u306e\u52b9\u679c\u3092\u9ad8\u3081\u308b\u85ac\u5264\u3002<\/p>\n<p>\u30fb\u4e8c\u6b21\u6cbb\u7642\u4ee5\u964d<\/p>\n<p>\u4e00\u6b21\u6cbb\u7642\u306e\u52b9\u679c\u304c\u4e4f\u3057\u304f\u306a\u3063\u305f\u5834\u5408\u3067\u3082\u3001\u6b21\u306e\u4e00\u624b\u3068\u3057\u3066\u4e8c\u6b21\u6cbb\u7642\uff08\u30bb\u30ab\u30f3\u30c9\u30e9\u30a4\u30f3\uff09\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u6cbb\u7642\u3092\u7d99\u7d9a\u3059\u308b\u3053\u3068\u3067\u3001\u3088\u308a\u9577\u3044\u671f\u9593\u3001\u304c\u3093\u3068\u5171\u306b\u751f\u304d\u3066\u3044\u304f\u3053\u3068\u3092\u76ee\u6307\u3057\u307e\u3059\u3002<\/p>\n<p>\u30ca\u30ce\u30ea\u30dd\u30bd\u30fc\u30e0\u578b\u30a4\u30ea\u30ce\u30c6\u30ab\u30f3\uff0b5-FU\/LV\u7642\u6cd5: \u30b2\u30e0\u30b7\u30bf\u30d3\u30f3\u3092\u542b\u3080\u6cbb\u7642\u306e\u5f8c\u306b\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u6a19\u6e96\u6cbb\u7642\u3067\u3059\u3002<br \/>\u30fb\u30ca\u30ce\u30ea\u30dd\u30bd\u30fc\u30e0\u578b\u30a4\u30ea\u30ce\u30c6\u30ab\u30f3: \u30a4\u30ea\u30ce\u30c6\u30ab\u30f3\u3092\u300c\u30ea\u30dd\u30bd\u30fc\u30e0\u300d\u3068\u3044\u3046\u5fae\u5c0f\u306a\u30ab\u30d7\u30bb\u30eb\u306b\u5c01\u5165\u3057\u305f\u85ac\u5264\u3002\u304c\u3093\u7d44\u7e54\u306b\u9577\u304f\u7559\u307e\u308a\u3001\u52b9\u679c\u306e\u6301\u7d9a\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<br \/>\u30fb\u30d5\u30eb\u30aa\u30ed\u30a6\u30e9\u30b7\u30eb (5-FU) \/ \u30ec\u30dc\u30db\u30ea\u30ca\u30fc\u30c8 (l-LV): FOLFIRINOX\u7642\u6cd5\u3067\u3082\u4f7f\u7528\u3055\u308c\u308b\u85ac\u5264\u3002<\/p>\n<p>\u30fb\u304c\u3093\u30b2\u30ce\u30e0\u533b\u7642\u306b\u57fa\u3065\u304f\u500b\u5225\u5316\u6cbb\u7642<\/p>\n<p>BRCA\u907a\u4f1d\u5b50\u691c\u67fb\uff1a\u81b5\u304c\u3093\u306e\u60a3\u8005\u3055\u3093\u306e\u7d045\uff05\u3067\u5909\u7570\u304c\u898b\u3064\u304b\u308a\u307e\u3059\u3002\u5909\u7570\u304c\u967d\u6027\u306e\u5834\u5408\u3001\u30d7\u30e9\u30c1\u30ca\u7cfb\u306e\u85ac\u5264\uff08\u81b5\u304c\u3093\u3067\u306f\u3001\u30aa\u30ad\u30b5\u30ea\u30d7\u30e9\u30c1\u30f3\u3068\u3044\u3046\u30d7\u30e9\u30c1\u30ca\u7cfb\u306e\u85ac\u5264\u304c\u4fdd\u967a\u8a3a\u7642\u3067\u4f7f\u3048\u307e\u3059\uff09\u306e\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u30d7\u30e9\u30c1\u30ca\u7cfb\u306e\u85ac\u5264\u3067\u52b9\u679c\u304c\u5f97\u3089\u308c\u305f\u5834\u5408\u3001PARP\u963b\u5bb3\u85ac\uff08\u30aa\u30e9\u30d1\u30ea\u30d6\uff09\u306b\u3088\u308b\u7dad\u6301\u7642\u6cd5\uff08\u826f\u3044\u72b6\u614b\u3092\u9577\u304f\u7d9a\u3051\u308b\u305f\u3081\u306e\u6cbb\u7642\uff09\u3082\u9069\u5fdc\u306b\u306a\u308a\u307e\u3059\u3002BRCA\u691c\u67fb\u3067\u5909\u7570\u304c\u967d\u6027\u306e\u5834\u5408\u3001\u3054\u5bb6\u65cf\uff08\u8840\u7e01\u8005\uff09\u3082\u304c\u3093\u306b\u306a\u308a\u3084\u3059\u3044\u4f53\u8cea\u3067\u3042\u308b\u5834\u5408\u304c\u3042\u308b\u305f\u3081\u3001\u907a\u4f1d\u5916\u6765\u3067\u76f8\u8ac7\u3059\u308b\u3053\u3068\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002<br \/>\n\u304c\u3093\u907a\u4f1d\u5b50\u30d1\u30cd\u30eb\u691c\u67fb\uff1a\u304c\u3093\u306e\u907a\u4f1d\u5b50\u60c5\u5831\u3092\u7db2\u7f85\u7684\u306b\u8abf\u3079\u308b\u691c\u67fb\u3067\u3059\u3002\u3053\u306e\u691c\u67fb\u306b\u3088\u3063\u3066\u7279\u5b9a\u306e\u907a\u4f1d\u5b50\u306b\u5909\u7570\u304c\u898b\u3064\u304b\u3063\u305f\u5834\u5408\u3001\u305d\u306e\u907a\u4f1d\u5b50\u5909\u7570\u3092\u6301\u3064\u304c\u3093\u7d30\u80de\u306b\u7279\u7570\u7684\u306b\u4f5c\u7528\u3059\u308b\u5206\u5b50\u6a19\u7684\u85ac\u306e\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u304c\u3093\u7d30\u80de\u304c\u6301\u3064\u7279\u5b9a\u306e\u5f31\u70b9\u3092\u72d9\u3044\u6483\u3061\u3059\u308b\u6cbb\u7642\u3067\u3042\u308a\u3001\u307e\u3055\u306b\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306e\u305f\u3081\u306e\u300c\u500b\u5225\u5316\u6cbb\u7642\uff08\u30d7\u30ec\u30b7\u30b8\u30e7\u30f3\u30fb\u30e1\u30c7\u30a3\u30b7\u30f3\uff09\u300d\u306e\u5b9f\u8df5\u3067\u3059<\/p>\n<p>2. \u591a\u8077\u7a2e\u306e\u5c02\u9580\u5bb6\u30c1\u30fc\u30e0\u306b\u3088\u308b\u5fb9\u5e95\u3057\u305f\u526f\u4f5c\u7528\u30de\u30cd\u30b8\u30e1\u30f3\u30c8<\/p>\n<p>\u5316\u5b66\u7642\u6cd5\u306f\u52b9\u679c\u304c\u671f\u5f85\u3055\u308c\u308b\u4e00\u65b9\u3067\u3001\u5410\u304d\u6c17\u3001\u5026\u6020\u611f\u3001\u98df\u6b32\u4e0d\u632f\u3001\u672b\u68a2\u795e\u7d4c\u969c\u5bb3\uff08\u624b\u8db3\u306e\u3057\u3073\u308c\uff09\u3001\u9aa8\u9ac4\u6291\u5236\uff08\u767d\u8840\u7403\u6e1b\u5c11\u306a\u3069\uff09\u3068\u3044\u3063\u305f\u526f\u4f5c\u7528\u3092\u4f34\u3044\u307e\u3059\u3002<\/p>\n<p>\u6cbb\u7642\u3092\u5b89\u5168\u306b\u3001\u305d\u3057\u3066\u9577\u304f\u7d9a\u3051\u308b\u305f\u3081\u306b\u306f\u3001\u3053\u308c\u3089\u306e\u526f\u4f5c\u7528\u3092\u6700\u5c0f\u9650\u306b\u6291\u3048\u308b\u300c\u526f\u4f5c\u7528\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u300d\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002<\/p>\n<p>\u5f53\u79d1\u3067\u306f\u3001\u533b\u5e2b\u3060\u3051\u3067\u306a\u304f\u3001\u5316\u5b66\u7642\u6cd5\u306b\u7cbe\u901a\u3057\u305f\u5c02\u9580\u770b\u8b77\u5e2b\u3084\u85ac\u5264\u5e2b\u3001\u7ba1\u7406\u6804\u990a\u58eb\u304c\u30c1\u30fc\u30e0\u3092\u7d44\u307f\u3001\u60a3\u8005\u3055\u3093\u3092\u5305\u62ec\u7684\u306b\u30b5\u30dd\u30fc\u30c8\u3057\u307e\u3059\u3002<\/p>\n<p>\u65b0\u3057\u3044\u652f\u6301\u7642\u6cd5\u85ac\u306e\u6d3b\u7528\u306f\u3082\u3061\u308d\u3093\u3001\u65e5\u5e38\u751f\u6d3b\u3067\u306e\u6ce8\u610f\u70b9\u3084\u98df\u4e8b\u306e\u5de5\u592b\u306a\u3069\u3001\u304d\u3081\u7d30\u304b\u306a\u30b1\u30a2\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u3067\u3001\u60a3\u8005\u3055\u3093\u306eQOL\uff08\u751f\u6d3b\u306e\u8cea\uff09\u3092\u7dad\u6301\u3057\u306a\u304c\u3089\u6cbb\u7642\u3092\u7d99\u7d9a\u3067\u304d\u308b\u3088\u3046\u5168\u529b\u3092\u5c3d\u304f\u3057\u307e\u3059\u3002<\/p>\n<p>3. \u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5<\/p>\n<p>\u624b\u8853\u306f\u3067\u304d\u306a\u3044\u3082\u306e\u306e\u3001\u304c\u3093\u304c\u81b5\u81d3\u306e\u5468\u308a\u306b\u3068\u3069\u307e\u3063\u3066\u3044\u308b\u300c\u5c40\u6240\u9032\u884c\u81b5\u304c\u3093\u300d\u306b\u5bfe\u3057\u3066\u306f\u3001\u5316\u5b66\u7642\u6cd5\u3068\u653e\u5c04\u7dda\u6cbb\u7642\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u300c\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u300d\u304c\u6709\u52b9\u306a\u9078\u629e\u80a2\u306e\u4e00\u3064\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u653e\u5c04\u7dda\u6cbb\u7642\u79d1\u3068\u5bc6\u306b\u9023\u643a\u3057\u3001\u9069\u5207\u306a\u30bf\u30a4\u30df\u30f3\u30b0\u3068\u65b9\u6cd5\u3067\u6cbb\u7642\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002<\/p>\n<p><a id=\"a6\"\/>\u5185\u8996\u93e1\u6cbb\u7642\uff1a\u75c7\u72b6\u7de9\u548c\u3068\u4f4e\u4fb5\u8972\u6cbb\u7642<\/p>\n<p>\u5185\u8996\u93e1\u6cbb\u7642\u306f\u3001\u8a3a\u65ad\u3060\u3051\u3067\u306a\u304f\u3001\u304c\u3093\u306b\u3088\u308b\u75c7\u72b6\u3092\u548c\u3089\u3052\u308b\u305f\u3081\u306b\u3082\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002<\/p>\n<p>\u5f53\u79d1\u3067\u306f\u3001ERCP\u3084Interventional EUS\u3068\u3044\u3063\u305f\u9ad8\u5ea6\u306a\u624b\u6280\u3092\u99c6\u4f7f\u3057\u3001\u60a3\u8005\u3055\u3093\u306eQOL\uff08\u751f\u6d3b\u306e\u8cea\uff09\u3092\u7dad\u6301\u30fb\u5411\u4e0a\u3055\u305b\u307e\u3059\u3002<\/p>\n<p>1.<a title=\"\u5185\u8996\u93e1\u7684\u9006\u884c\u6027\u80c6\u7ba1\u81b5\u7ba1\u9020\u5f71\uff08ERCP\uff09\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/hepatobiliary_oncology\/050\/090\/20200612135230.html\" rel=\"nofollow noopener\" target=\"_blank\"> \u5185\u8996\u93e1\u7684\u9006\u884c\u6027\u80c6\u7ba1\u81b5\u7ba1\u9020\u5f71\uff08ERCP\uff09<\/a><\/p>\n<p>ERCP\u306f\u3001\u53e3\u304b\u3089\u5185\u8996\u93e1\u3092\u5165\u308c\u3001\u80c6\u7ba1\u3068\u81b5\u7ba1\u306e\u51fa\u53e3\u304b\u3089\u7d30\u3044\u30c1\u30e5\u30fc\u30d6\u3092\u633f\u5165\u3057\u3066\u884c\u3046\u691c\u67fb\u30fb\u6cbb\u7642\u3067\u3059\u3002<\/p>\n<p>\u76ee\u7684: \u81b5\u304c\u3093\u306b\u3088\u3063\u3066\u80c6\u7ba1\u304c\u5727\u8feb\u3055\u308c\u3001\u9ec4\u75b8\u3084\u80c6\u7ba1\u708e\u304c\u8d77\u304d\u305f\u5834\u5408\u306b\u3001\u30b9\u30c6\u30f3\u30c8\uff08\u30c1\u30e5\u30fc\u30d6\uff09\u3092\u7559\u7f6e\u3057\u3066\u80c6\u6c41\u306e\u6d41\u308c\u3092\u78ba\u4fdd\u3057\u307e\u3059\uff08\u80c6\u9053\u30c9\u30ec\u30ca\u30fc\u30b8\uff09\u3002<br \/>\n\u91cd\u8981\u6027: \u3053\u306e\u51e6\u7f6e\u306b\u3088\u308a\u75c7\u72b6\u304c\u6539\u5584\u3057\u3001\u5316\u5b66\u7642\u6cd5\u306a\u3069\u306e\u672c\u683c\u7684\u306a\u304c\u3093\u6cbb\u7642\u3092\u5b89\u5168\u306b\u958b\u59cb\u30fb\u7d99\u7d9a\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u5f53\u79d1\u3067\u306f\u3001\u80c3\u306e\u624b\u8853\u5f8c\u306a\u3069\u89e3\u5256\u5b66\u7684\u306b\u96e3\u3057\u3044\u75c7\u4f8b\u306b\u3082\u3001\u9ad8\u3044\u6210\u529f\u7387\u3067\u5bfe\u5fdc\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>2. <a title=\"Interventional EUS\uff08\u6cbb\u7642\u7684EUS\uff09\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/hepatobiliary_oncology\/050\/100\/20200615142916.html\" rel=\"nofollow noopener\" target=\"_blank\">Interventional EUS\uff08\u6cbb\u7642\u7684EUS\uff09<\/a><\/p>\n<p>\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\uff08EUS\uff09\u3092\u8a3a\u65ad\u3060\u3051\u3067\u306a\u304f\u6cbb\u7642\u306b\u5fdc\u7528\u3059\u308b\u624b\u6280\u3067\u3059\u3002EUS-FNA\uff08\u7d44\u7e54\u63a1\u53d6\uff09\u306e\u6280\u8853\u3092\u767a\u5c55\u3055\u305b\u305f\u3082\u306e\u3067\u3001\u5f53\u79d1\u304c\u7279\u306b\u529b\u3092\u5165\u308c\u3066\u3044\u308b\u5206\u91ce\u306e\u4e00\u3064\u3067\u3059\u3002<\/p>\n<p>EUS\u30ac\u30a4\u30c9\u4e0b\u80c6\u9053\u30c9\u30ec\u30ca\u30fc\u30b8 (EUS-BD): ERCP\u306b\u3088\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u56f0\u96e3\u306a\u5834\u5408\u306b\u3001\u80c3\u3084\u5341\u4e8c\u6307\u8178\u304b\u3089\u76f4\u63a5\u3001\u80c6\u7ba1\u306b\u91dd\u3092\u523a\u3057\u3066\u30b9\u30c6\u30f3\u30c8\u3092\u7559\u7f6e\u3057\u307e\u3059\u3002ERCP\u4e0d\u6210\u529f\u4f8b\u306b\u5bfe\u3059\u308b\u91cd\u8981\u306a\u4ee3\u66ff\u624b\u6bb5\u3067\u3042\u308a\u3001\u60a3\u8005\u3055\u3093\u3092\u6551\u3046\u6700\u5f8c\u306e\u7826\u3068\u3082\u3044\u3048\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002<br \/>\nEUS\u30ac\u30a4\u30c9\u4e0b\u81b5\u7ba1\u30c9\u30ec\u30ca\u30fc\u30b8 (EUS-PD): \u81b5\u7ba1\u304c\u72ed\u7a84\u3057\u3001\u81b5\u708e\u3092\u7e70\u308a\u8fd4\u3059\u5834\u5408\u306b\u3001\u80c3\u304b\u3089\u81b5\u7ba1\u306b\u30b9\u30c6\u30f3\u30c8\u3092\u7559\u7f6e\u3057\u307e\u3059\u3002<br \/>\nEUS\u30ac\u30a4\u30c9\u4e0b\u81bf\u760d\u30c9\u30ec\u30ca\u30fc\u30b8: \u81b5\u81d3\u306e\u5468\u308a\u306b\u3067\u304d\u305f\u81bf\u306e\u305f\u307e\u308a\uff08\u81bf\u760d\uff09\u3092\u3001\u4f53\u306e\u5916\u304b\u3089\u91dd\u3092\u523a\u3059\u3053\u3068\u306a\u304f\u3001\u80c3\u3084\u8178\u306e\u4e2d\u304b\u3089\u6392\u81bf\u3057\u307e\u3059\u3002<\/p>\n<p>\u3053\u308c\u3089\u306eInterventional EUS\u306f\u3001\u4f53\u5916\u306b\u30c1\u30e5\u30fc\u30d6\u3092\u51fa\u3059\u5fc5\u8981\u304c\u306a\u3044\u306a\u3069\u3001\u5f93\u6765\u306e\u6cbb\u7642\u6cd5\u306b\u6bd4\u3079\u3066\u60a3\u8005\u3055\u3093\u306e\u8ca0\u62c5\u3092\u8efd\u6e1b\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3057\u304b\u3057\u3001\u975e\u5e38\u306b\u9ad8\u5ea6\u306a\u6280\u8853\u3068\u7d4c\u9a13\u3092\u8981\u3059\u308b\u305f\u3081\u3001\u5b9f\u65bd\u3067\u304d\u308b\u65bd\u8a2d\u306f\u9650\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u5f53\u79d1\u3067\u306f\u3001\u8c4a\u5bcc\u306a\u7d4c\u9a13\u3092\u6301\u3064\u5c02\u9580\u533b\u304c\u5b89\u5168\u304b\u3064\u78ba\u5b9f\u306a\u6cbb\u7642\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u81b5\u304c\u3093\u6cbb\u7642\u306b\u304a\u3051\u308b\u8ab2\u984c\u3068\u5c55\u671b<br \/>\n\u6cbb\u7642\u306e\u8ab2\u984c<\/p>\n<p>\u65e9\u671f\u767a\u898b\u306e\u96e3\u3057\u3055: \u6709\u52b9\u306a\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u65b9\u6cd5\u304c\u78ba\u7acb\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<br \/>\n\u6cbb\u7642\u306e\u526f\u4f5c\u7528: \u5f37\u529b\u306a\u5316\u5b66\u7642\u6cd5\u306b\u306f\u3001\u526f\u4f5c\u7528\u5bfe\u7b56\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002<br \/>\n\u533b\u7642\u306e\u5747\u3066\u3093\u5316: \u5f53\u79d1\u304c\u63d0\u4f9b\u3059\u308b\u3088\u3046\u306a\u9ad8\u5ea6\u5c02\u9580\u533b\u7642\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306b\u306f\u3001\u5730\u57df\u5dee\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u4eca\u5f8c\u306e\u5c55\u671b<\/p>\n<p>\u65b0\u6280\u8853\u306e\u5c0e\u5165: AI\u306b\u3088\u308b\u753b\u50cf\u8a3a\u65ad\u652f\u63f4\u3084\u30ea\u30ad\u30c3\u30c9\u30d0\u30a4\u30aa\u30d7\u30b7\u30fc\uff08\u8840\u6db2\u306b\u3088\u308b\u304c\u3093\u8a3a\u65ad\uff09\u306a\u3069\u3001\u65b0\u3057\u3044\u6280\u8853\u958b\u767a\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002<br \/>\n\u56fd\u969b\u7814\u7a76\u306e\u63a8\u9032: \u56fd\u969b\u5171\u540c\u6cbb\u9a13\u3092\u3055\u3089\u306b\u63a8\u9032\u3057\u3001\u65b0\u3057\u3044\u6cbb\u7642\u3092\u3044\u3061\u65e9\u304f\u5c4a\u3051\u307e\u3059\u3002<br \/>\n\u60a3\u8005\u4e2d\u5fc3\u306e\u533b\u7642: \u60a3\u8005\u3055\u3093\u306e\u4fa1\u5024\u89b3\u3092\u5c0a\u91cd\u3057\u3001\u5171\u306b\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3059\u308b\u533b\u7642\u3092\u91cd\u8996\u3057\u307e\u3059\u3002<\/p>\n<p><a title=\"\u5916\u6765\u53d7\u8a3a\u306e\u3054\u6848\u5185\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/d001\/shoshin\/index.html\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"\u5916\u6765\u53d7\u8a3a\u306e\u3054\u6848\u5185\u30dc\u30bf\u30f3\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/06\/shoshin.png\" width=\"400\"\/><\/a><br \/>\n<a title=\"\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u306e\u3054\u6848\u5185\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/d001\/secondopinion\/index.html\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u306e\u3054\u6848\u5185\u30dc\u30bf\u30f3\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/06\/secondopinion.png\" width=\"400\"\/><\/a><\/p>\n<p><a id=\"a7\"\/>\u81b5\u304c\u3093\uff08\u81b5\u81d3\u304c\u3093\uff09\u306e\u7814\u7a76\u306b\u3064\u3044\u3066<\/p>\n<p>\u5f53\u79d1\u306f\u3001\u6a19\u6e96\u6cbb\u7642\u3092\u63d0\u4f9b\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u672a\u6765\u306e\u6cbb\u7642\u3092\u5275\u308a\u51fa\u3059\u300c\u7814\u7a76\u958b\u767a\u62e0\u70b9\u300d\u3068\u3057\u3066\u306e\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u65b0\u3057\u3044\u85ac\u5264\u306e\u958b\u767a: \u56fd\u5185\u5916\u306e\u88fd\u85ac\u4f01\u696d\u3068\u5354\u529b\u3057\u3001\u65b0\u3057\u3044\u6297\u304c\u3093\u5264\u3084\u514d\u75ab\u7642\u6cd5\u85ac\u306a\u3069\u306e<a title=\"\u81b5\u81d3\u304c\u3093\u3092\u5bfe\u8c61\u306b\u3057\u305f\u6cbb\u9a13\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/division\/clinical_trial\/patient\/to_patients\/14\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">\u81e8\u5e8a\u8a66\u9a13\uff08\u6cbb\u9a13\uff09<\/a>\u3092\u6570\u591a\u304f\u884c\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\n\u304c\u3093\u30b2\u30ce\u30e0\u533b\u7642: \u304c\u3093\u7d30\u80de\u306e\u907a\u4f1d\u5b50\u7570\u5e38\u3092\u8abf\u3079\u3001\u305d\u306e\u7d50\u679c\u306b\u57fa\u3065\u3044\u3066\u9069\u5207\u306a\u85ac\u5264\u3092\u9078\u629e\u3059\u308b\u300c\u500b\u5225\u5316\u6cbb\u7642\uff08\u30d7\u30ec\u30b7\u30b8\u30e7\u30f3\u30fb\u30e1\u30c7\u30a3\u30b7\u30f3\uff09\u300d\u3092\u5b9f\u8df5\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\nEUS\u30ac\u30a4\u30c9\u4e0b\u816b\u760d\u6cbb\u7642: Interventional EUS\u306e\u5fdc\u7528\u3068\u3057\u3066\u3001\u816b\u760d\u306b\u76f4\u63a5\u85ac\u5264\u3092\u6ce8\u5165\u3057\u305f\u308a\u3001\u30e9\u30b8\u30aa\u6ce2\u3067\u713c\u707c\u3057\u305f\u308a\u3059\u308b\u65b0\u3057\u3044\u6cbb\u7642\u6cd5\u306e\u958b\u767a\uff08\u81e8\u5e8a\u8a66\u9a13\uff09\u306b\u3082\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n<p>\u96c6\u5b66\u7684\u6cbb\u7642\u3068\u500b\u5225\u5316\u6cbb\u7642<\/p>\n<p>\u624b\u8853\u3001\u5316\u5b66\u7642\u6cd5\u3001\u653e\u5c04\u7dda\u7642\u6cd5\u3001\u305d\u3057\u3066ERCP\u3084Interventional EUS\u3068\u3044\u3063\u305f\u9ad8\u5ea6\u306a\u5185\u8996\u93e1\u6cbb\u7642\u3092\u3001\u60a3\u8005\u3055\u3093\u306e\u72b6\u614b\u3084\u304c\u3093\u306e\u6027\u8cea\u3001\u907a\u4f1d\u5b50\u60c5\u5831\u306b\u5408\u308f\u305b\u3066\u9069\u5207\u306b\u7d44\u307f\u5408\u308f\u305b\u308b\u300c\u96c6\u5b66\u7684\u6cbb\u7642\u300d\u3068\u300c\u500b\u5225\u5316\u6cbb\u7642\u300d\u3092\u8ffd\u6c42\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u56fd\u7acb\u304c\u3093\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u4e2d\u592e\u75c5\u9662 \u809d\u80c6\u81b5\u5185\u79d1\u306e\u5f79\u5272<\/p>\n<p>\u5c02\u9580\u6027: \u65e5\u672c\u306b\u304a\u3051\u308b\u81b5\u304c\u3093\u306e\u5316\u5b66\u7642\u6cd5\u3068\u3001ERCP\u3084Interventional EUS\u306a\u3069\u306e\u9ad8\u5ea6\u5185\u8996\u93e1\u8a3a\u7642\u3092\u30ea\u30fc\u30c9\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n\u7814\u7a76\u3068\u81e8\u5e8a\u306e\u9023\u643a: \u65e5\u3005\u306e\u8a3a\u7642\u304b\u3089\u751f\u307e\u308c\u305f\u7591\u554f\u3092\u7814\u7a76\u306b\u6d3b\u304b\u3057\u3001\u305d\u306e\u6210\u679c\u3092\u518d\u3073\u60a3\u8005\u3055\u3093\u306b\u9084\u5143\u3059\u308b\u30b5\u30a4\u30af\u30eb\u3092\u5b9f\u8df5\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n\u56fd\u969b\u7684\u306a\u7814\u7a76\u5354\u529b: \u56fd\u969b\u5171\u540c\u6cbb\u9a13\u3092\u63a8\u9032\u3057\u3001\u4e16\u754c\u306e\u6cbb\u7642\u958b\u767a\u3092\u30ea\u30fc\u30c9\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a id=\"a8\"\/>\u81b5\u304c\u3093\uff08\u81b5\u81d3\u304c\u3093\uff09\u306e\u7642\u990a\u306b\u3064\u3044\u3066<br \/>\n\u6cbb\u7642\u524d\u5f8c\u306e\u5305\u62ec\u7684\u30b1\u30a2<\/p>\n<p>\u5fc3\u7406\u7684\u30b5\u30dd\u30fc\u30c8: \u5c02\u9580\u306e\u7cbe\u795e\u816b\u760d\u79d1\u533b\u3084\u81e8\u5e8a\u5fc3\u7406\u58eb\u304c\u5fc3\u306e\u30b1\u30a2\u3092\u884c\u3044\u307e\u3059\u3002<br \/>\n\u6804\u990a\u7ba1\u7406: \u7ba1\u7406\u6804\u990a\u58eb\u304c\u5c02\u9580\u7684\u306a\u6804\u990a\u6307\u5c0e\u3092\u884c\u3044\u3001\u6cbb\u7642\u3092\u4e57\u308a\u5207\u308b\u4f53\u529b\u3092\u652f\u3048\u307e\u3059\u3002<br \/>\n\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3: \u7406\u5b66\u7642\u6cd5\u58eb\u304c\u65e9\u671f\u304b\u3089\u4ecb\u5165\u3057\u3001\u4f53\u529b\u7dad\u6301\u30fb\u56de\u5fa9\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u307e\u3059\u3002<\/p>\n<p><a title=\"\u809d\u81d3\u304c\u3093\u30fb\u80c6\u9053\u304c\u3093\u30fb\u81b5\u81d3\u304c\u3093\u306e\u7642\u990a\u306b\u3064\u3044\u3066\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/clinic\/hepatobiliary_oncology\/qol\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">\u7642\u990a\u306b\u3064\u3044\u3066\u306e\u8a73\u7d30\u306f\u3053\u3061\u3089\u2192\u300c\u809d\u81d3\u304c\u3093\u30fb\u80c6\u9053\u304c\u3093\u30fb\u81b5\u81d3\u304c\u3093\u306e\u7642\u990a\u306b\u3064\u3044\u3066\u300d<\/a><br \/>\n<a id=\"a9\"\/>\u4e2d\u592e\u75c5\u9662 \u809d\u80c6\u81b5\u5185\u79d1\u3092\u53d7\u8a3a\u3055\u308c\u308b\u7686\u69d8\u3078<br \/>\n\u60a3\u8005\u3055\u3093\u306e\u9078\u629e\u80a2\u3092\u5e83\u3052\u308b\u53d6\u308a\u7d44\u307f<\/p>\n<p><a title=\"\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/d001\/secondopinion\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3<\/a>: \u5168\u56fd\u306e\u60a3\u8005\u3055\u3093\u304b\u3089\u306e\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u3092\u7a4d\u6975\u7684\u306b\u53d7\u3051\u5165\u308c\u3001\u7d0d\u5f97\u306e\u3044\u304f\u6cbb\u7642\u9078\u629e\u3092\u652f\u63f4\u3057\u307e\u3059\u3002<br \/>\n\u60c5\u5831\u63d0\u4f9b: \u30a6\u30a7\u30d6\u30b5\u30a4\u30c8\u306a\u3069\u3092\u901a\u3058\u3001\u4fe1\u983c\u3067\u304d\u308b\u65b0\u3057\u3044\u60c5\u5831\u3092\u767a\u4fe1\u3057\u307e\u3059\u3002<br \/>\n\u60a3\u8005\u652f\u63f4\u30d7\u30ed\u30b0\u30e9\u30e0: \u9662\u5185\u306e\u300c<a title=\"\u304c\u3093\u76f8\u8ac7\u652f\u63f4\u30bb\u30f3\u30bf\u30fc\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/division\/physician_referral_service\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">\u304c\u3093\u76f8\u8ac7\u652f\u63f4\u30bb\u30f3\u30bf\u30fc<\/a>\u300d\u3067\u306f\u3001\u6cbb\u7642\u306e\u60a9\u307f\u304b\u3089\u81e8\u5e8a\u8a66\u9a13\u306b\u95a2\u3059\u308b\u60c5\u5831\u307e\u3067\u3001\u3042\u3089\u3086\u308b\u76f8\u8ac7\u306b\u5bfe\u5fdc\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u30e1\u30c3\u30bb\u30fc\u30b8<\/p>\n<p>\u81b5\u304c\u3093\u306e\u6cbb\u7642\u6cd5\u3001\u7279\u306b\u5316\u5b66\u7642\u6cd5\u3084\u5185\u8996\u93e1\u6cbb\u7642\u3001\u6cbb\u9a13\u306e\u60c5\u5831\u306f\u65e5\u3005\u9032\u6b69\u3057\u3066\u3044\u307e\u3059\u3002\u672c\u30da\u30fc\u30b8\u306f\u5f53\u79d1\u306e\u73fe\u5728\u306e\u53d6\u308a\u7d44\u307f\u3092\u307e\u3068\u3081\u305f\u3082\u306e\u3067\u3059\u304c\u3001\u5b9f\u969b\u306e\u6cbb\u7642\u306f\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306e\u72b6\u614b\u306b\u5fdc\u3058\u3066\u6c7a\u5b9a\u3055\u308c\u307e\u3059\u3002\u9069\u5207\u306a\u8a3a\u7642\u3092\u53d7\u3051\u308b\u305f\u3081\u306b\u3001\u307e\u305a\u306f\u5f53\u79d1\u306e\u3088\u3046\u306a\u5c02\u9580\u6a5f\u95a2\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n<div class=\"image_box\">\n<div class=\"image_box_right\"><img loading=\"lazy\" decoding=\"async\" alt=\"\u5965\u5742\u3000\u62d3\u5fd7\u3000\uff08\u304a\u304f\u3055\u304b\u3000\u305f\u304f\u3058\uff09\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/11\/okusaka_t.jpg\" width=\"160\" height=\"160\"\/><\/div>\n<div>\n<p style=\"text-align: right;\">\u809d\u80c6\u81b5\u5185\u79d1\u9577\u3000\u5965\u5742\u3000\u62d3\u5fd7<\/p>\n<p style=\"text-align: right;\">\u5c02\u9580\u533b\u30fb\u8a8d\u5b9a\u533b\u8cc7\u683c\u306a\u3069\uff1a<br \/>\u533b\u5b66\u535a\u58eb<br \/>\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u6307\u5c0e\u533b\u30fb\u8a8d\u5b9a\u5185\u79d1\u533b<br \/>\u65e5\u672c\u6d88\u5316\u5668\u75c5\u5b66\u4f1a\u6307\u5c0e\u533b\u30fb\u5c02\u9580\u533b<br \/>\u65e5\u672c\u80c6\u9053\u5b66\u4f1a\u6307\u5c0e\u533b<br \/>\u65e5\u672c\u81b5\u81d3\u5b66\u4f1a\u6307\u5c0e\u533b<\/p>\n<\/div>\n<\/div>\n<p>\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u3078<\/p>\n<div style=\"text-align: center;\"><a title=\"\u521d\u8a3a\u306e\u3054\u6848\u5185\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/d001\/shoshin\/index.html\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"\u5916\u6765\u53d7\u8a3a\u306e\u3054\u6848\u5185\u30dc\u30bf\u30f3\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/06\/shoshin.png\" width=\"400\"\/><\/a><\/div>\n<div style=\"text-align: center;\"><a title=\"\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u306e\u3054\u6848\u5185\" href=\"https:\/\/www.ncc.go.jp\/jp\/ncch\/d001\/secondopinion\/index.html\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" alt=\"\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u306e\u3054\u6848\u5185\u30dc\u30bf\u30f3\" src=\"https:\/\/www.wacoca.com\/health\/wp-content\/uploads\/2026\/06\/secondopinion.png\" width=\"400\"\/><\/a><\/div>\n<\/div>\n<p>&#8216;));<br \/>\n  $(&#8216;body&#8217;).append($(&#8221;));<br \/>\n  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